World Education Congress
July 28-31 • St. Louis, Missouri
EARLY REGISTRATION FORM
Early Discount Rate Deadline: June 29, 2012
1
Registration Information
MPI Member/Customer Number: ________________________________________
Last Name:_ ____________________________________________________ First Name:_________________________________________________
Title:___________________________________________________________ Company Name: ____________________________________________
Address:_ _________________________________________________________________________________________________________________
City/State/Province_____________________________________________________ Zip or Postal Code/Country:______________________________
Phone (Country Code/Area Code/Number):_________________________Cell (Country Code/Area Code/Number): _____________________________
*E-mail:____________________________________________________ Twitter ID (if applicable): __________________________________________
*E-mail addresses and cell phone numbers will be kept private, unless specific approval is granted for opt in services. Email addresses will be used for MPI correspondence regarding your registration.
Badge Information (as you wish it to appear) Name/Nickname:_________________________Professional Designation:_______________________
First-time attendee?
Yes
No
What most influenced you to register? (Check all that apply)
Conference brochure or postcard
ONE+ magazine ad/article
Promotional product
E-mail from MPI
Phone call from MPI
Messages from my chapter
Word-of-mouth
Social Networking (Facebook, LinkedIn, Twitter, other)
Internet
How much purchasing power do you influence annually in US dollars?
Up to $50,000
$1,000,001 to $5,000,000
$50,001 to $100,000
$5,000,001 to $10,000,000
$100,001 to $500,000
Above $10,000,000
$500,001 to $1,000,000
None
Your purchasing role: (check one)
Make final decision
Make final recommendation
Your age range:
25 or younger
26 - 35
36 - 45
46 - 55
Part of recommendation process
No role
56 - 65
66 or older
Prefer not to respond
Do you authorize MPI to publish your contact information (name,
company and address) on the registration list to
all program attendees?
Yes
No
Would you like to receive the conference bag?
Yes, I do want a conference bag
No, I do not want a conference bag
Do you manage employees that directly report to you?
Yes
No
Would you like to participate in the Ambassador Program?
(Register by June 14)
Yes, I would like to receive information about the program
No, I am not interested in the program
Have you ever booked a meeting in St. Louis?
Yes
No
Do you plan to host an event in St. Louis within the next 5 years?
Yes
No
Do you plan meetings outside the US and Canada?
Yes
No
If so, where? (Check all that apply)
Europe
Central America
Australia
Africa
South America
Asia
Middle East
Regarding the meetings you plan, on average, how many attendees
are at each?
___ Less than 50 attendees
___ 501-1,000
___ 51-100
___ 1,001-1,500
___ 101-250
___ 1,501-2,500
___ 251-500
___ 2,501+
Regarding the number of peak rooms needed for your meetings,
on average, how many do you book?
___ Less than 50 attendees
___ 501-1,000
___ 51-100
___ 1,001-1,500
___ 101-250
___ 1,501-2,500
___ 251-500
___ 2,501+
Number of years in the industry:
1–5
5 – 10
10 – 15
15 – 20
20 – 30
30 +
Page 2
Last Name______________________________________________ First Name________________________________________________
Please rate the factors below in terms of how important each
is in your decision to attend an MPI educational conference.
(Please rate each factor on the following 1-5 scale)
(1) extremely important; (2) very important; (3) somewhat important;
(4) not very important; (5) unimportant
___ Educational Session Content
___ Conference Location
___ Networking Events
2
___ Budget Considerations
___ Schedule Considerations
PLEASE INDICATE ANY SPECIAL NEEDS
Vegetarian
Please choose all of the job functions that you perform: (Check all that apply)
Administrative Support
Business Development
Consulting
Customer Service
Developer
Event Management
Executive
Faculty
Management
Marketing
Marketing Management
Meeting/Event Planning
Sales
Sales Management
Speaker/Author
Sponsorship
Supplier
Technology
Dietary:
Diabetic
Physical:
Please check here if you require special accommodations. Please specify: ___________________________________________________
Food Allergies: _ ________________________________________________________________________
3
IN CASE OF AN EMERGENCY DURING the CONFERENCE, PLEASE CONTACT
Name (Please print clearly):_ __________________________________________________________________________________________________
Daytime Phone: ______________________________________________ Evening Phone:_________________________________________________
4
REGISTRATION FEES
WEC 2012 St. Louis Registration Rates
Registration Type
5
Early Discount Registration Rate
through June 29, 2012
Registration Rate
Full Conference - MPI Planner Member
$650
$960
Full Conference - MPI Planner Supplier
$750
$995
GBTA Member
$750
$995
Non-Member - Planner or Supplier
$995
$1,055
One Day - MPI Planner Member
$395
$675
One Day - MPI Supplier Member
$450
$725
One Day Non-Member
$560
$790
Student Member
$145
$245
Faculty Member
$325
$560
Members
Non-Members
Friday – CMP Master Class
$140
$140
Friday – Core Skills Workshop
$125
$175
Friday/Saturday – ROI Competency Building Workshop
$595
$795
$40
$40
Sunday – RISE Awards Lunch
Complimentary
Complimentary
Monday – Loews Iron Chef Lunch
Complimentary
Complimentary
Tuesday – Las Vegas Promotional Lunch
Complimentary
Complimentary
Tuesday – EMI Special Session
Complimentary
Complimentary
Register by July 29, 2011
Onsite Rate
$0
$0
pre-CONFERENCE EVENTS / conference events / OTHER FEES
Conference Events
Saturday – Computer Lab – Critical Excel Tools for the Meeting Professional
MPI Foundation Events
Event
Saturday - The Big Deal - Planner
Sunday – The Big Deal – Supplier
$75
$95
Power Play (1 The Big Deal/1 Rendezvous) – Supplier
$175
$200
Monday - Rendezvous – 1 Ticket
$110
$125
Monday - Rendezvous – 2 Ticket
N/A
$200
Monday - Rendezvous – 3 Ticket
N/A
$250
Page 3
6
Last Name______________________________________________ First Name________________________________________________
PAYMENT
• Payment must accompany your registration form
• Return check fee - $30
• Checks must be in US Dollars
• Copies of checks will not be accepted
7
Please check one:
Promotional Code (if applicable): __________________________________
Enclosed is Check # ____________ in the amount of US$______________
• Payable to Meeting Professionals International
• Please write the registrant’s name on the check
Enclosed is my money order
Credit Card: Charge US$_____________to the following credit card*
Visa
Mastercard
American Express
Diner’s Club
SEND REGISTRATION FORM &
CHECK PAYMENT TO:
MPI WEC Registration Team
Attn: Alyssa Arnold
3030 LBJ Freeway, Suite 1700
Dallas, TX 75234
Fax: 416.421.6226 or 1-866.268.9074
Email: wec@showcare.com
Discover
Credit Card Number:___________________________Expiration Date:__________
Cardholder’s Name:_______________________________________________________
Cardholder’s Signature:____________________________________________________
*All non-U.S. members will be charged the U.S. equivalent at the time the credit card is processed.
IMPORTANT INFORMATION and REMINDERS
• Early Discount Rate Deadline: June 29, 2012
• Advance Rate Deadline: July 28, 2012
• Deadline for Attendee List: Register by July 22, 2012 to guarantee your name and company information on the attendee list published on the MPI website.
• Mailed Registrations Deadline: Please do not mail registrations in after June 29, 2012 as we cannot guarantee receipt in a timely manner for
processing. Payment may be required onsite for registrations not received.
• Questions Regarding Registration: Please call 514.380.9377 or 866.654.0919 or email wec@showcare.com. Registrations received without
payment will not be processed.
• Questions Regarding Membership: Please call 972.702.3053 or email feedback@mpiweb.org.
• Guest Registration (US $250): All guests must register onsite at US $250 and must not be in an industry-related position. Co-workers or
associates in the industry do not qualify. Guests must be at least 18 years of age. Guests are welcome to participate in the opening reception,
closing reception and other official evening events, excluding MPI Foundation The Big Deal and Rendezvous Orlando.
• Cancellations: Cancellations must be received in writing prior to June 29, 2012 and are subject to a US $75 processing fee. Refunds will be
processed within 30 days after the conference. Refunds will not be granted after June 29, 2012 nor will they be given for no-shows. Please mail,
fax or email cancellations to wec@showcare.com.
• Recorded Sessions – By registering for WEC 2012, you are authorizing the use of any photograph(s), name and/or likeliness in any recorded sessions
or still photography.
• MPI Ambassador Program: MPI will be having an Ambassador Program to pair first time attendees and new members with experienced
members, to learn what to expect and how to get the most out of WEC. If you selected “Yes, I would like to receive information about the
program”, you will be contacted with information about becoming a mentor or mentee. The deadline to register interest is June 1, 2012.
• For complete details regarding MPI conference events, please visit www.mpiweb.org/events.